MEDICAL MASSAGE THERAPY

PORT ARTHUR, TX
NPI1003135815
Entity TypeOrganization
Authorized ContactVICTORIA AKACHUKWU
Owner
409-201-1964
Organization Subpart ?No
Primary Taxonomy111NR0400X 
(Licence: TX  109921)
Additional Taxonomies305R00000X Preferred Provider Organization
(Licence: TX  109921)
283X00000X Rehabilitation Hospital
(Licence: TX  109921)
Enumeration Date2010-05-19
Last Update Date2010-09-30
Business Address
MEDICAL MASSAGE THERAPY
3100 MEMORIAL BLVD
PORT ARTHUR, TX 77640-2734
Phone number: 409-201-1964
Mailing Address
MEDICAL MASSAGE THERAPY
PO BOX 1376
PORT ARTHUR, TX 77641-1376
Phone number: 409-201-1964